Harvard University



Improving the Quality of Medical Decision Making in Diverse Populations of Patients and Diverse Delivery SettingsSession: Rethinking Decision Aids to Reach Diverse Populations Maria L. Jibaja-Weiss, EdDDan L. Duncan Comprehensive Cancer Center, Baylor College of Medicinemariaj@bcm.edu Multimedia / Small MediaA Patchwork of Life – for Women Making Breast Cancer Treatment DecisionsUtilizes entertainment education – soap opera/brief dramatizations; interactive jewelry boxURL: bcm.edu/patchworkoflifeInformation Rx and training video integrated into clinic flow at Breast Surgery ClinicPoint-of-care videos to encourage patient-provider communication about breast, colorectal, cervical screeningMultilingual, culturally-tailored point-of-care videos for the African-American, White, Hispanic, and Vietnamese patient populations.Videos are designed to encourage patient-provider communication and increase utilization of specific cancer screening tests (mammography, fecal immunochemical test, Pap test). The electronic medical record is used to identify patients due for screening; patients are then targeted for video-delivered education at the point of care.URLs:Mammographybcm.edu/cprit/mammogramvideosFecal Immunochemical Test (FIT)bcm.edu/cprit/fitvideosPap Testbcm.edu/cprit/papvideos Performing Arts - Theater Outreach Program“Before Time Runs Out” by Thomas MelonconFull-length play focused on breast cancer screening and early detection targeted to African American community.3-minute promotional video: Facebook: OOHD website: Theater ProjectInteractive theater program designed to stimulate community involvement. Scenes performed by three theater troupes focused on colorectal and cervical cancer screening and early detection. Theater troupes targeted three communities: African American, Hispanic and Vietnamese.Forum Theater - Overview: Promotional video: HL, Winterbottom AE, Butow P, Dillard AJ, Feldman-Stewart D, Fowler FJ, Jibaja-Weiss ML, Shaffer VA, Volk RJ. Do personal stories make patient decision aids more effective: a review of theory and evidence? BMC Medical Informatics and Decision Making 2013: 13 (Suppl 2):S9.Jibaja-Weiss ML, Volk RJ. Utilizing computerized entertainment education in the development of decision aids. J Health Comm. 2007;12:681-697.Jibaja Weiss ML, Volk RJ, Friedman LC, Granchi TS, Neff NE, Spann SJ, Robinson EK, Aoki N, Beck JR.? Preliminary testing of a just-in-time, user-defined values clarification exercise to aid lower literate women in making informed breast cancer treatment decisions.? Health Expectations 2006;9(3):218-31Jibaja-Weiss ML, Volk RJ, Granchi TS, Neff NE, Spann SJ, Aoki N, Robinson EK, Friedman LC, Beck JR. Entertainment education for informed breast cancer treatment decisions in low-literate women—development and initial evaluation of a patient decision aid. J Cander Educ. 2006;21:133-139.Jibaja-Weiss ML, Volk RJ, Granchi TS, Neff NE, Robinson EK, Spann SJ, Aoki N, Friedman LC, Beck JR. Entertainment education for breast cancer surgery decisions: A randomized trial among patients with low health literacy. Patient Educ and Couns 2011;84(1):41-48.Montealegre JR, Gossey JT, Anderson ML, Chenier RS, Chauca G, Rustveld LO, Jibaja-Weiss ML. Implementing targeted cervical cancer screening videos at the point of care. Patient Education and Counseling 2014: 97(33): 426-429.Rustveld L, Valverde I, Chenier R, McLaughlin R, Waters V, Sullivan J, Jibaja-Weiss M. A novel community based colorectal and cervical cancer education program: findings from the Community Network for Cancer Prevention Forum Theater Program. J Cancer Educ 2013: Dec 28(4):684-9. ................
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